Özet:

INTRODUCTION: The aim of this study’s is; to evaluate the clinical, laboratory and pathological findings of the thyroid cancer retrospectively through the patients who was applied thyroidectomy for the various endications, and with this findings to prove the opportune surgical procedures for this patients. METHODS: 50 (11.16 %) of cases (45 woman, 5 man) who was determined thyroid cancer, receipt this study through the 448 patients who was applied thyroidectomy between January 2000-January 2004. All of the cases inspected from the standpoint of preoperative findings and investigations, hormonal activity, existence of noduls and postoperative pathological reports. RESULTS: Patients most frequent complaint was cervical mass (68 %). Thyroid scintigraphic investigation and hormonal examinations had been applied to all patients. According to findings 70 % of patients were euthyroid, 16 % were manifest hyperthyroid and 14 % were subclinic hyperthyroid at the resource instant. We determined multiple thyroid noduls in 62 % of patients and solitary thyroid nodul or dominant thyroid nodul in 30 % of patients according to thyroid scintigraphy. According to pathological reports 84 % of patients were papillary thyroid cancer and 26 % of these have microcancer, 8 % were follicular cancer, 6 % were medullary cancer, and 1 patient (2 %) was anaplastic cancer. DISCUSSION AND CONCLUSION: However the majority of the thyroid cancer patients are euthyroid, the number of hyperthyroid patients (30 %) can not be lessen. Once more however the majority of thyroid cancer patients are have multiple noduls, 30 % of the patients have solitary or dominant nodul. According to all this findings the surgeons musn’t be forget that the cancer rates are not lessen in patients with multiple noduls or hyperthyroid. If we take into consideration the exceed rates of microcancer, least surgical treatment must be near total thyroidectomy in patients who will undergoing operation according to us.

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